Individual provider Active NPI

Wade John Najem II, D.D.S.,M.S.D.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Cortland, OH
National Provider Identifier
1871712703
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
19187 Issued in OH
Practice address
210 Windsor Dr
Cortland, OH 44410-2703
Phone
(330) 638-7004
Fax
(330) 638-7198
NPI assigned
Apr 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 19187 OH Primary

Addresses

Primary practice location

210 Windsor Dr
Cortland, OH 44410-2703

Mailing address

210 Windsor Dr
Cortland, OH 44410-2703
Phone (330) 638-7004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160713001131 OH Order and Referring Only - DentistPractitioner - Dentist 7517259468

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19187OHMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Lehky State Dental Providers, LLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871712703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 WINDSOR DR",
            "city": "CORTLAND",
            "state": "OH",
            "postal_code": "444102703",
            "telephone_number": "330-638-7004",
            "fax_number": "330-638-7198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 WINDSOR DR",
            "city": "CORTLAND",
            "state": "OH",
            "postal_code": "444102703",
            "telephone_number": "330-638-7004",
            "fax_number": "330-638-7198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAJEM",
        "first_name": "WADE",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "D.D.S.,M.S.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "OH",
            "license": "19187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cortland, OH

Sources for this page

Verify at the official NPI Registry.